LOGAN HAUSMAN (NPI# 1619417870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619417870 |
| Entity Type | Individual |
| Full Name | LOGAN HAUSMAN |
| Practice Address |
199 Frontier Trl Pocahontas AR 72455-1379 |
| Practice Telephone | 8709269076 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | OT-A1192 | AR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 217966721 | 05 |
| Street Address |
199 FRONTIER TRL |
| City | POCAHONTAS |
| State | AR |
| Zip Code | 72455-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396960621 | Michael Sheridan | Occupational Therapist | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2007-04-13 |
| 1740645415 | Kelsey Allman | Occupational Therapy Assistant | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2015-12-23 |
| 1164674321 | Clarissa D Burgess | Occupational Therapy Assistant | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2008-10-21 |
| 1164647400 | Sheridan Occupational Therapy Services, Inc. | Occupational Therapist | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2007-04-13 |
| 1629293949 | Holly Jill Sheridan | Occupational Therapist | 199 Frontier Trl, Pocahontas, AR 72455-1379 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694920 | Puckett Dental LLC | Clinic/Center | 1041 Highway 67 North, Pocahontas, AR 72455 | 2015-07-10 |
| 1659676443 | Higginbotham Therapy Providers LLC | Speech-Language Pathologist | 42 Helter Rd, Pocahontas, AR 72455 | 2011-01-25 |
| 1083846059 | Amber Dawn Hudson | Speech-Language Pathologist | 84 Woodland Hill Circle, Pocahontas, AR 72455 | 2009-08-10 |
| 1174752125 | Sara Jocelyn Hubbell | Developmental Therapist | 410 Camp Road, Pocahontas, AR 72455 | 2009-07-13 |
| 1730332511 | Holly T Brigance | Nurse Practitioner | 2901 Medical Center Drive, Pocahontas, AR 72455 | 2008-10-24 |
| 1255598983 | Ashley Erin Taylor | Registered Nurse | 2018 Highway 67 S, Pocahontas, AR 72455 | 2008-05-20 |
| 1740405661 | Leslie Marie Malone | Speech-Language Pathologist | 2300 North Park St., Pocahontas, AR 72455 | 2007-04-16 |
| 1942354808 | D Mike Mcdaniel | Audiologist | 153 Country Club Road, Pocahontas, AR 72455 | 2007-01-22 |
| 1366518615 | University of Arkansas for Medical Sciences | Pediatrics | 300 Camp Rd, Pocahontas, AR 72455 | 2006-11-28 |
| 1275623035 | Families, Inc. of Arkansas | Counselor | 2305 Old County Road, Pocahontas, AR 72455 | 2006-10-13 |
| Find all providers in zip 72455 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851879449 | Alina Capiro Barnes | Prevention Professional | 6501 W 32nd St, Little Rock, AR 72204-5952 | 2018-08-06 |
| 1770682262 | Dean Butler | Prevention Professional | 1405 S Main St, Hope, AR 71801-7244 | 2006-09-21 |
| 1275069346 | Admmd LLC | Prevention Professional | 4523 Woodlawn Dr, Little Rock, AR 72205 | 2017-05-10 |
| 1154501823 | Shelia Cripps | Prevention Professional | 1004 Se 5th St, Bentonville, AR 72712-6032 | 2007-11-09 |
| City | POCAHONTAS |
| Zip Code | 72455 |
Please comment or provide details below to improve the information on LOGAN HAUSMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.